MARTIA JERONDA FULLER
NPI 1780150011
Counselor - Professional in Charlotte, NC

NPI Status: Active since October 14, 2018

Contact Information

8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC
ZIP 28262
Phone: (704) 208-4458
Fax: (866) 309-6385

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  • Individual
  • Female
  • Counselor
  • Professional
  • Accepts Insurance

About MARTIA FULLER

This page provides the complete NPI Profile along with additional information for Martia Fuller, a provider established in Charlotte, North Carolina with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1780150011 assigned on October 2018. The practitioner's primary taxonomy code is 101YP2500X with license number A14117 (NC). The provider is registered as an individual and her NPI record was last updated 6 years ago. Martia Fuller operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.

NPI
1780150011
Provider Name
MARTIA JERONDA FULLER
Gender
Female
Entity Type
Individual
Location Address
8401 MEDICAL PLAZA DR STE 360 CHARLOTTE, NC 28262
Location Phone
(704) 208-4458
Location Fax
(866) 309-6385
Mailing Address
204 SYCAMORE ST OXFORD, NC 27565
Mailing Phone
(919) 339-0649
Is Sole Proprietor?
Yes
Enumeration Date
10-14-2018
Last Update Date
01-03-2020
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Location Map

Secondary Locations

  • 1788 Heritage Center Dr Ste 202
    Wake Forest, NC 27587
    (919) 435-7920

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
A14117
License State
NC

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Novant Health - EPO
  • Blue Home Bronze Standard | with Novant Health - EPO
  • Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Novant Health - EPO
  • Blue Home Gold Standard | with Novant Health - EPO
  • Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health - EPO
  • Blue Home Silver Standard | with Novant Health - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Reviews for MARTIA JERONDA FULLER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1780150011
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2716025002
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 2 + 5 + 0 + 0 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1780150011 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073167797 SHELIA DENISE CAMPBELL LPC-A
Individual
Counselor (Mental Health)8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC 28262
(704) 208-4458
1386832996 APRIL WARWICK MORRIS
Individual
Counselor (Mental Health)8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC 28262
(042) 084-4587
1528305588DR. RYAN ROBERT ADAMCZYK PH.D., LPC
Individual
Counselor (Mental Health)8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC 28262
(704) 208-4458
1891205928 AVERY BLACKWELL MSW, LCSWA
Individual
Social Worker (Clinical)8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC 28262
(704) 208-4458
1396162665 LAKISHA SUBER
Individual
Counselor (Mental Health)8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC 28262
(704) 208-4458
1659814499 MELISSA TIFFANY ROBINSON LPCA
Individual
Counselor (Mental Health)8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC 28262
(704) 208-4458
1205256922 LATANIA SHERRELL WILLIAMS MCADOO LPC
Individual
Counselor (Professional)8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC 28262
(704) 247-7638
1689032088MR. VERDARO DRAUGHN LPC
Individual
Counselor (Mental Health)8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC 28262
(704) 208-4458
1437570868 MONICA HACKETT LPC
Individual
Counselor (Mental Health)8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC 28262
(704) 965-8638
1801448881 JAMAL RESHARD WARD
Individual
Counselor (Mental Health)8401 MEDICAL PLAZA DR STE 360
CHARLOTTE, NC 28262
(704) 208-4458

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780150011, enumerated in the NPI registry as an "individual" on October 14, 2018

The provider is located at 8401 Medical Plaza Dr Ste 360 Charlotte, Nc 28262 and the phone number is (704) 208-4458

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 14, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.